NPIMap

Organization Active NPI

Aegis Therapies

  • Adult Care Home Facility
  • Keosauqua, IA
National Provider Identifier
1487080297
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
000953 Issued in IA
Legal business name
AEGIS THERAPIES
Practice address
819 Country Lane Rd
Keosauqua, IA 52565-1001
Phone
(319) 293-3761
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Kevin LarkinNPI 1003291402
Title
Cota
Phone
(641) 814-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 000953 IA Primary

Addresses

Primary practice location

819 Country Lane Rd
Keosauqua, IA 52565-1001

Mailing address

1433 Silverwood LN
Ottumwa, IA 52501-3940
Phone (641) 814-2275

National Provider Directory

National Provider Directory
Tax ID family
Aegis9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1487080297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 SILVERWOOD LN",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013940",
            "telephone_number": "641-814-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COUNTRY LANE RD",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651001",
            "telephone_number": "319-293-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "641-814-2275"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.